AU2010247766B2 - Solid forms and process for preparing - Google Patents

Solid forms and process for preparing Download PDF

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AU2010247766B2
AU2010247766B2 AU2010247766A AU2010247766A AU2010247766B2 AU 2010247766 B2 AU2010247766 B2 AU 2010247766B2 AU 2010247766 A AU2010247766 A AU 2010247766A AU 2010247766 A AU2010247766 A AU 2010247766A AU 2010247766 B2 AU2010247766 B2 AU 2010247766B2
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compound
formula
solvent
water
precipitate
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Robin Clark
Doug Fry
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Corcept Therapeutics Inc
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Corcept Therapeutics Inc
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D471/00Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
    • C07D471/02Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
    • C07D471/04Ortho-condensed systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Abstract

The present invention provides amorphous solid forms of the compound of Formula I, as well as methods for preparing the compound of Formula I by precipitation.

Description

WO 20101132445 PCT/US2010/034382 SOLID FORMS AND PROCESS FOR PREPARING CROSS-REFERENCE TO RELATED APPLICATIONS [0001] This application claims priority to U.S. Provisional Application No. 61/177,483, 5 filed May 13, 2009. BACKGROUND OF THE INVENTION [0002] (R)-4a-ethoxymethyl-1-(4-fluoro-phenyl)-6-(4-trifluoromethyl-benzenesulfonyl) 4,4a,5,6,7,8-hexahydro- 1 H, 1,2,6-triaza-cyclopenta[b]naphthalene (herein Compound 1) was 10 previously published in Clark et al., Bioorganic and Medicinal Chemistry Letters 2008, 18, 1312-1317, and has the following structure: Me".O 0 0 N NS N N CF3 F Compound 1 is a member of a class of compounds useful for the modulation of cortisol by glucocorticoid receptor (GR) antagonists. One such known GR antagonist, mifepristone, has 15 been found to be an effective anti-glucocorticoid agent in humans (Bertagna (1984) J. Clin. Endocrinol. Metab. 59:25). Mifepristone binds to the GR with high affinity, with a dissociation constant (Kd) of 10-9 M (Cadepond (1997) Annu. Rev. Med. 48:129). [0003] Increased levels of cortisol have been found in patients with some forms of psychiatric illnesses (Krishnan (1992) Prog. Neuro-Psychophannacol. & Biol. Psychiat. 20 16:913-920). For example, some depressed individuals can be responsive to treatments which block the effect of cortisol, as by administering GR antagonists (Van Look (1995) Human Reproduction Update 1:19-34). In one study, a patient with depression secondary to Cushing's Syndrome (hyperadrenocorticism) was responsive to a high dose, up to 1400 mg per day, of GR antagonist mifepristone (Nieman (1985) J. Clin Endocrinol. Metab. 61:536). 25 Another study which used mifepristone to treat Cushing's syndrome found that it improved the patients' conditions, including their psychiatric status (Chrousos, pp 273-284, In: Baulieu, 1 WO 2010/132445 PCT/US2010/034382 ed. The Antiprogestin Steroid RU 486 and Human Fertility Control. Plenum Press, New York (1989), Sartor (1996) Clin. Obstetrics and Gynecol. 39:506-5 10). [0004] Psychosis has also been associated with Cushing's syndrome (Gerson (1985) Can. J. Psychiatry 30:223-224; Saad (1984) Am. J. Mfed. 76:759-766). Mifepristone has been used to 5 treat acute psychiatric disturbances secondary to Cushing's syndrome. One study showed that a relatively high dose of mifepristone (400 to 800 mg per day) was useful in rapidly reversing acute psychosis in patients with severe Cushing Syndrome due to adrenal cancers and ectopic secretion of ACTH from lung cancer (Van der Lely (1991) Ann. Intern. Med. 114:143; Van der Lely (1993) Pharnacy World & Science 15:89-90; Sartor (1996) supra). 10 [0005] Treatment of psychotic major depression and other conditions and diseases using compound 1 would be made easier if compound I could be administered in a solid form. Solid forms offer several advantages over oil and gum forms of compounds, such as ease of handling, solubility, formulation with pharmaceutical excipients into solid dosage forms, among others. Previous preparations of compound 1, and derivatives thereof, however, have 15 been unable to produce solid forms of compound 1. See Bioorganic and Medicinal Chemistry Letters 2008, 18, 1312-1317, and U.S. Patent Application No. 10/591,884 (filed May 7, 2007 and published December 6, 2007 as U.S. Published Application No. 2007/0281928). [00061 What is needed is a solid form of compound 1, and a method for preparing the solid 20 form. Surprisingly, the present invention meets this and other needs. BRIEF SUMMARY OF THE INVENTION [0007] In one embodiment, the present invention provides an amorphous solid form of a compound of Formula I: N I NJN 'N
CF
3 25 F (I). [0008] In another embodiment, the present invention provides a method of preparing an amorphous solid form of a compound of Formula I. In one step, the method involves dissolving the compound of Formula I in a solvent of acetone, methanol, ethanol, 2-propanol 2 WO 2010/132445 PCT/US2010/034382 or 2-methoxyethanol, to prepare a first solution. In another step, the method involves contacting the first solution with water, thereby precipitating the compound of Formula I. BRIEF DESCRIPTION OF THE DRAWINGS 5 [0009] Figure 1 shows the X-ray diffraction pattern of the compound of Formula I, and demonstrates that the compound of Formula I is amorphous. [0010] Figure 2 shows the thermal gravimetric analysis (TGA) of the compound of Formula I. [0011] Figure 3 shows the differential scanning calorimetry (DSC) of the compound of 10 Formula I. DETAILED DESCRIPTION OF THE INVENTION [0012] The present invention provides an amorphous solid form of the compound of Formula I, and methods for preparing the amorphous solid form. The compound of Formula 15 I is known in the prior art, but not in a solid form. Solid forms of compounds are common and can be prepared by precipitation or crystallization methods using single or binary solvent systems known to one of skill in the art. A variety of solvent systems can be used to prepare the amorphous or crystalline forms of a compound. In some cases, such as with the compound of Formula I, a compound does not readily form an amorphous or a crystalline 20 form, and can require extensive experimentation to identify a solvent system and conditions for preparing the amorphous or crystalline form. [0013] Because the compound of Formula I does not readily form an amorphous or crystalline form, extensive experimentation with a variety of methods and solvent systems was undertaken to prepare a solid form of the compound of Formula I. Some of the methods 25 tested used a single solvent system of dichloromethane, chlorobenzene, toluene, anisole, heptane, 1,4-dioxane, tert-butylmethyl ether, butyl acetate, isopropyl acetate, ethyl acetate, methyl isobutyl ketone, methyl ethyl ketone, acetone, ethanol, methanol, 2-butanol, 1 butanol, 1-propanol, 2-propanol, 2-methoxyethanol, acetonitrile, tetrahydrofuran, water, and nitromethane. Using two different concentrations for each solvent system, the compound of 30 Formula I was dissolved in the solvent and subjected to heat/cool cycles between room temperature and 50' C (8 hour cycles) for 24 hours, followed by cooling at 4' C for 24 hours, and cooling at -20' C for another 24 hours. None of the single solvent systems afforded a solid form of the compound of Formula I.
WO 2010/132445 PCT/US2010/034382 [0014] Binary solvent systems were also tested for the preparation of a solid form of the compound of Formula I. Using the solvents listed above, other than water and heptane, the compound of Formula I was dissolved, and water, heptane or cyclohexane was added as the antisolvent to reduce the solubility of the compound of Formula I in the solvent mixture. 5 Several binary solvent systems were identified that afforded a solid form: methanol/water, ethanol/water, 2-propanol/water and 2-methoxyethanol/water. Many solvent systems tested failed to provide an amorphous solid form of the compound of Formula I. Surprisingly, while 2-propanol/water afforded an amorphous solid form of the compound of Formula I, 1 propanol/water did not. In addition, 1 -butanol/water and 2-butanol/water did not afford an 10 amorphous solid form of the compound of Formula I. The solvent combination can also be subjected to cooling from room temperature to -10' C at 0. 1 C/minute and holding at -10' C, or -20' C. For example, the binary solvent system of tert-butylmethyl ether/heptane provided an amorphous solid form of the compound of Formula I with cooling to -20' C. [0015] Accordingly, the present invention provides an amorphous solid form of a 15 compound of Formula I: Me-_O 0 0 NJ N ' N
CF
3 F (I). In other embodiments, the compound of Formula I is characterized by an X-ray diffraction pattern, substantially as depicted in Figure 1. Analysis by thermal gravimetric analysis (TGA) demonstrates a weight loss for the compound of Formula I of about 10% upon heating 20 to 40-45' C, with no additional weight loss up to about 150' C (see Figure 2). Analysis by differential scanning calorimetry (DSC) showed an endothermic peak for the amorphous solid form of the compound of Formula I at about 66' C (see Figure 3). [0016] Amorphous solid forms of the compound of Formula I can be prepared by a variety of methods. In some embodiments, amorphous solid forms can be prepared by dissolving the 25 compound of Formula I in a good solvent at an elevated temperature to make a saturated solution, and then allowing the solution to cool such that the compound of Formula I comes out of solution to form a precipitate. [00171 Alternatively, amorphous solid forms of the compound of Formula I can be prepared by dissolving the compound of Formula I in a good solvent, and then adding an 4 WO 2010/132445 PCT/US2010/034382 antisolvent to the good solvent. The antisolvent is a solvent in which the compound of Formula 1 is not soluble or is poorly soluble, such that the solubility of the compound of Formula I in the mixture of the good solvent and antisolvent is reduced to the point that the compound of Formula I comes out of solution. Solvents useful for dissolving the compound 5 of Formula I include, but are not limited to, dichloromethane, chlorobenzene, toluene, anisole, 1,4-dioxane, tert-butylmethyl ether, butyl acetate, isopropyl acetate, ethyl acetate, methyl isobutyl ketone, methyl ethyl ketone, acetone, ethanol, methanol, 2-butanol, 1 butanol, 1-propanol, 2-propanol, 2-methoxyethanol, acetonitrile, tetrahydrofuran, nitromethane, acetic acid, dimethylformamide, dimethylsulfoxide, and N 10 methylpyrrolidinone. Other good solvents are useful in the present invention. [0018] Antisolvents useful in the method of the present invention include, but are not limited to, a polar-protic solvent, a C 5
-C
10 alkyl and a C 5 -Cio cycloalkyl. Polar protic solvents useful as the antisolvent in the present invention include, but are not limited to, water. A C 5 -Cio alkyl useful as the antisolvent in the present invention include, but are not 15 limited to, pentane, hexane, heptane, octane, nonane, decane, and isomers thereof. The C 5 Cio alkyl can be linear or branched, saturated or unsaturated. The antisolvent can also be a
C
5
-C
10 cycloalkyl such as cyclopentane, cyclohexane, cycloheptane, cyclooctane, cyclononane and cyclodecane. The C 5
-C
10 cycloalkyl can be partially or fully saturated or unsaturated. Other solvents are useful as the antisolvent of the present invention. 20 [0019] In another embodiment, the present invention provides a method of preparing an amorphous solid form of a compound of Fonnula I. In one step, the method involves dissolving the compound of Formula I in a solvent of acetone, methanol, ethanol, 2-propanol or 2-methoxyethanol, to prepare a first solution. In another step, the method involves contacting the first solution with water, thereby precipitating the compound of Formula I. In 25 other embodiments, the solvent is methanol, ethanol, 2-propanol or 2-methoxyethanol. In some other embodiments, the solvent is methanol, ethanol or 2-propanol. In still other embodiments, the solvent is ethanol. [00201 The ratio of solvent to antisolvent can be any useful ratio. In some embodiments, the ratio of solvent to antisolvent is from about 5:1 to about 1:10 (vol/vol). In other 30 embodiments, the ratio of solvent to antisolvent is from about 2:1 to about 1:2 (vol/vol). In some other embodiments, the ratio of solvent to antisolvent is about 1:1 (vol/vol). In still other embodiments, the ratio of solvent to antisolvent is from about 1:1 to about 1:5 (vol/vol). In yet other embodiments, the ratio of solvent to antisolvent is about 10:1, 9:1, 8:1, 7:1, 6:1, 5 WO 2010/132445 PCT/US2010/034382 5:1, 4:1, 3:1, 2:1, 1:1, 1:2, 1:3, 1:4, 1:5, 1:6, 1:7, 1:8, 1:9 or about 1:10 (vol/vol). Other ratios of solvent to antisolvent are useful in the present invention. [0021] In some embodiments, the antisolvent is added to the first solution. In other embodiments, the first solution is added to the antisolvent. When the first solution is added 5 to the antisolvent, the antisolvent can be stirred vigorously and the first solution added dropwise in order to precipitate the compound of Formula I. For example, when the antisolvent is water, the first solution can be added to the water. [0022] In other embodiments, the present invention provides a method of preparing an amorphous solid form of a compound of Formula I. In one step, the method involves 10 dissolving the compound of Formula I in 1,4-dioxane, to prepare a first solution. In another step, the method involves contacting the first solution with heptane, thereby precipitating the compound of Formula I. [00231 In some other embodiments, the present invention provides a method of preparing an amorphous solid form of a compound of Formula I using a binary solvent system of tert 15 butylmethyl ether and heptane. In one step, the method involves dissolving the compound of Formula I in tert-butylmethyl ether, to prepare a first solution. In another step, the method involves contacting the first solution with heptane, to prepare a second solution. The method also involves cooling the second solution to less than about 0' C, thereby precipitating the compound of Formula I. In some embodiments, the second solution is cooled to about 20 -20' C. Other temperatures are useful for the preparation of amorphous solid forms of the compound of Formula I. The second solution can be cooled for any suitable period of time. In some embodiments, the cooling can be for several minutes or an hour. In other embodiments, the cooling can be for several hours, or up to a day. In still other embodiments, the cooling can be for several days, such as 1, 2, 3, 4, 5, or more days. 25 [0024] Following precipitation, the solid form of the compound of Formula I is isolated by filtration and dried. I. Examples Example 1: Precipitation of Formula I from Single-Solvent Mixtures [00251 The compound of Formula I was dissolved in the solvent and subject to heat/cool 30 cycles between room temperature and 500 C (8 hour cycles) for 24 hours, followed by cooling at 4' C for 24 hours, and cooling at -20' C for another 24 hours. 6 WO 2010/132445 PCT/US2010/034382 Table 1. Precipitation from single solvent mixtures Solvent Product I1 Product 112 Dichloromethane Clear Solution Oil Chlorobenzene Clear Solution Oil Toluene Clear Solution Oil Anisole Clear Solution Oil Heptane Gum 1,4-Dioxane Clear Solution Oil Tert-Butylmethyl ether 2 Clear Solution Oil Butyl acetate Clear Solution Oil Isopropyl acetate Clear Solution Oil Ethyl acetate Clear Solution Oil Methyl isobutyl ketone Clear Solution Oil Methyl ethyl ketone Clear Solution Oil Acetone Clear Solution Oil Ethanol Clear Solution Oil Methanol Clear Solution Glass 2-Butanol Clear Solution Oil 1-Butanol Clear Solution Oil 1-Propanol Clear Solution Oil 2-Propanol Clear Solution Oil 2-Methoxyethanol Clear Solution Oil Acetonitrile Clear Solution Oil Tetrahydrofuran Clear Solution Oil Water Gum Nitromethane Clear Solution Oil Concentration is 25-30 mg/0.5 mL. 2 Concentration is 25-30 mg/0.1 mL. Process also involved sonication at room temperature for 10 minutes and evaporation of the solvent. Example 2: Precipitation of Formula I from Solvent:Antisolvent Mixtures 5 [0026] Formula I was dissolved in a suitable solvent at room temperature. An anti-solvent was added in the appropriate ratio, and the slurry was stirred at room temperature (unless provided otherwise). Any solid that formed was isolated by filtration and dried. 7 WO 2010/132445 PCT/US2010/034382 Table 2. Precipitation from alcohol:antisolvent mixtures Solvent:Antisolvent 1 Solvent Antisolvent Ratio Product Methanol Water 1:1 Precipitate Methanol Water 10:1 No precipitate Ethanol Water 1:1 Precipitate Ethanol Water 10:1 No precipitate Ethanol Cyclohexane 2 1:2 No precipitate I-Propanol Water 1:1 No precipitate 1-Propanol Water 10:1 No precipitate 1-Propanol Cyclohexane 2 1:2 No precipitate 2-Propanol Water 1:1 Precipitate 2-Propanol Water 10:1 No precipitate 1-Butanol Water 2:1 No precipitate 2-Butanol Water 2:1 No precipitate 2-Methoxyethanol Water 1:1 Precipitate 2-Methoxyethanol Water 10:1 No precipitate 2-Methoxyethanol Cyclohexane 2 1:2 No precipitate Any precipitate formed is an amorphous precipitate. 2 Cooling from room temperature to -10' C at 0.1' C/minute and holding at -10' C for four days.
WO 2010/132445 PCT/US2010/034382 Table 3. Precipitation from solvent:antisolvent mixtures Solvent Antisolvent solvent Antisolvent Product' Dichloromethane Heptane 1:2 No precipitate Chlorobenzene Heptane 1:2 No precipitate Toluene Heptane 1:2 No precipitate Anisole Heptane 1:2 No precipitate 1,4-Dioxane Heptane 1:2 Precipitate Tert-Butylmethyl ether 2 Heptane 1:2 No precipitate Butyl acetate Heptane 1:2 No precipitate Isopropyl acetate Heptane 1:2 No precipitate Ethyl acetate Heptane 1:2 No precipitate Methyl isobutyl ketone Heptane 1:2 No precipitate Methyl ethyl ketone Heptane 1:2 No precipitate Acetone Water 1:1 Precipitate Acetone Water 10:1 No precipitate Acetonitrile Water 1:2 No precipitate Acetonitrile Water 10:1 No precipitate Tetrahydrofuran Heptane 1:2 No precipitate Nitromethane Heptane 1:2 No precipitate Acetic acid Water 1:3 No precipitate Dimethylformamide Water 1:3 No precipitate Dimethylsulfoxide Water 1:3 No precipitate N-methylpyrrolidinone Water 1:3 No precipitate Any precipitate formed is an amorphous precipitate. 2 After cooling to -20' C for 5 days, an amorphous precipitate was formed. Example 3: Precipitation of Formula I from Ethanol/Water 5 [0027] The precipitation was run under nitrogen. A 22-L baffled, jacketed reaction flask equipped with overhead stirrer, thermocouple, addition funnel, and Julabo HTU was rinsed with a mixture of 1 L of water and 0.25 L ethanol before use. Water was charged to the flask and stirred, with the Julabo setpoint at 20.0'C. Purified compound of Formula I from the rotovap bulb (381.1 g) was dissolved in ethanol (4.0 L), and the solution filtered thru a rinsed 10 plug of glass wool into a rinsed Pyrex bottle. The rotovap bulb and funnel were rinsed with ethanol (0.3 L). The solution was mixed, and then transferred (in 500 mL portions) to the 9 WO 2010/132445 PCT/US2010/034382 addition funnel. The solution was added in a thin stream over 1 h 48 min to the vigorously stirred water, generating a white precipitate. The temperature was held between 21 and 25'C during addition of the compound of Formula I. The empty Pyrex bottle was rinsed with ethanol (50 mL), and the rinse added to the addition funnel and then to the flask. The white 5 suspension was stirred at 20-25'C for 78 min. Solid was isolated by vacuum filtration on a medium fritted-glass funnel; the cake cracked and shrank. The flask was rinsed with 4:1 water/ethanol (1900 mL) and the rinses added to the funnel. The cake was deliquored, then transferred to Pyrex drying trays, and the lumps broken up. The trays were placed in vacuum drying ovens held at 40-50'C, under a nitrogen sweep until at constant weight. 364 g of the 10 compound of Formula I were isolated. [00281 Although the foregoing invention has been described in some detail by way of illustration and example for purposes of clarity of understanding, one of skill in the art will appreciate that certain changes and modifications may be practiced within the scope of the 15 appended claims. In addition, each reference provided herein is incorporated by reference in its entirety to the same extent as if each reference was individually incorporated by reference. 10

Claims (5)

  1. 8. The method of any one of claims 3 to 7, wherein the ratio of solvent to water is from about 5:1 to about 1:10 (vol/vol).
  2. 9. The method of claim 8, wherein the ratio of solvent to water is from about 2:1 to about 1:2 (volivol).
  3. 10. The method of claim 8, wherein the ratio of solvent to water is about 1:1 (vol/vol).
  4. 11. The method of claim 8, wherein the ratio of solvent to water is from about 1:1 to about 1:5 (vol/vol). 12, A method of preparing an amorphous solid form of a compound of Formula 1: Me% O O0 N'S N NGCF 3 F (I) the method comprising: dissolving the compound of Formula I in 1,4-dioxane, to prepare a first solution; and contacting the first solution with heptane thereby precipitating the compound of Formula 1.
  5. 13. A method of preparing an amorphous solid form of a compound of Formula 1: 13 Me O O0 N, N N CF3 F (I) the method comprising: dissolving the compound of Formula I in tert-butylmethyl ether, to prepare a first solution; and contacting the first solution with heptane, to prepare a second solution; and cooling the second solution to less than about 00 C, thereby precipitating the compound of Formula I. Corcept Therapeutics, Inc. Patent Attorneys for the Applicant/Nominated Person SPRUSON & FERGUSON
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EP1735308B1 (en) * 2004-03-09 2008-09-10 Corcept Therapeutics, Inc. Fused ring azadecalin glucocorticoid receptor modulators
AU2012204232A1 (en) 2011-01-07 2013-06-27 Corcept Therapeutics, Inc. Combination steroid and glucocorticoid receptor antagonist therapy
US8859774B2 (en) 2012-05-25 2014-10-14 Corcept Therapeutics, Inc. Heteroaryl-ketone fused azadecalin glucocorticoid receptor modulators
EP4219494A1 (en) 2013-11-25 2023-08-02 Corcept Therapeutics Incorporated Octahydro fused azadecalin glucocorticoid receptor modulators
JP6754533B2 (en) 2015-03-30 2020-09-16 コーセプト セラピューティクス, インコーポレイテッド Use of glucocorticoid receptor antagonists in combination with glucocorticoids to treat adrenal insufficiency
JP6768789B2 (en) 2015-08-13 2020-10-14 コーセプト セラピューティクス, インコーポレイテッド Method for differential diagnosis of ACTH-dependent Cushing's syndrome
WO2017127448A1 (en) 2016-01-19 2017-07-27 Corcept Therapeutics, Inc. Differential diagnosis of ectopic cushing's syndrome
BR112018067330A2 (en) 2016-03-01 2019-01-22 Corcept Therapeutics Inc method for treating patient with tumor burden
US9943505B2 (en) 2016-09-09 2018-04-17 Corcept Therapeutics, Inc. Glucocorticoid receptor modulators to treat pancreatic cancer
CN110475558A (en) 2017-03-09 2019-11-19 科赛普特治疗学股份有限公司 Application of the glucocorticoid receptor modulator in Secretion of Catecholamine type oncotherapy
JP2020515563A (en) 2017-03-31 2020-05-28 コーセプト セラピューティクス, インコーポレイテッド Glucocorticoid receptor modulators for treating cervical cancer
IL263184A (en) 2018-11-21 2020-05-31 Yarden Yosef Method of treating cancer and compositions for same
NZ776354A (en) 2018-12-19 2023-03-31 Corcept Therapeutics Inc Pharmaceutical formulations containing relacorilant, a heteroaryl-ketone fused azadecalin compound
WO2020132046A1 (en) 2018-12-19 2020-06-25 Corcept Therapeutics Incorporated Methods of treating cancer comprising administration of a glucocorticoid receptor modulator and a cancer chemotherapy agent
US11234971B2 (en) 2018-12-19 2022-02-01 Corcept Therapeutics Incorporated Methods of treating cancer comprising administration of a glucocorticoid receptor modulator and a cancer chemotherapy agent
CN113490496A (en) 2019-02-22 2021-10-08 科赛普特治疗学股份有限公司 Therapeutic use of heteroaryl-ketone fused azadecalin glucocorticoid receptor modulator relacalan
CN114929229A (en) 2019-12-11 2022-08-19 科赛普特治疗学股份有限公司 Method for treating antipsychotic-induced weight gain with milicolan

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